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o SENDER: <br />v .Comdata Name 1 anaor 2 for additional services. " <br />8 SO wish f0 receive the <br /> <br />m <br />.Comdata llama a, aa, and ab. , ~ _ <br />following services (for an <br />„ t; our <br />neme end address on the rererse or this brm so that we can velum tMS <br />•~ n BXba fee): <br /> <br />~ ~ <br />tl <br />.Attach tn,9lonn to the hom of the maildece, or an the beUr it apace does nol <br />1. ^ AddreS59e'S Address ai <br />~ <br />~ <br />u • Wn ei1Felum Recei A ues(ed' on the mail lace below the article number. <br />pr a4 v <br />2. ^ Restdcted Delivery O <br />w <br />$ <br />~ .The Retum Receipt will show to vTOm the erode was tlelivemtl end iha date <br />delivered. <br />Consult posbnaster for fee. <br />fi <br />~ <br />o <br />v 3. Article Address}e~d t"o: <br />7 <br />C! <br />Q <br />~ <br />!, 4a. Article^Nu'mber ^ <br />z 'Tl s7 9o $ <br />°` <br />a a <br />l <br />, <br />(, , <br />X~a <br />~p~pr~wIXO d.. <br />~ <br />` <br />E <br />v nrl <br />Qµ/y~~/, n^.~~' <br />~.J~+"r"*y ~p, ,L ( 4b. Service Type <br />-` <br />^ Registered L{r-~.ertified . <br />. <br />°' <br /> JJ ^ Bcpress Mail ^ Insured c <br />p <br /> A^~ L~/ '~11',, ,, ~/~ Q/~Ql'~ <br />W Vv ' '' ( <br />vLS <br />Y ~ <br />' ^ Retum ~@ceipt r Merchan ise ^ COD <br /> . <br />~ <br />l~ <br />v 7. Date W ell ~ ~ / <br />6 <br />2 T <br /> 5. Received By: (Pdnt Name) 6. Addressee's Address (Only it requested ~ <br /> end lee is paid) r <br /> r <br /> 6. Signa (Addre a or ant) <br />T X <br />n <br />PS Fom, 3811, December tssa <br />Domestic Retum Receipt <br />416r gn~_ <br />Recei~ef~ C_ q ~ _ p.~ <br />~~ Certified Mat <br />0 <br />~ ~ Do not use for International Meil <br />ISee Reverse) <br />N No Insurance Coverage Provided <br />~ ~~,oc~>~ eo <br /> S~ei antl No <br />VC <br /> Ie dntl ZIP COtle <br />P 0 . Sh <br /> <br /> Posiage~ <br />t~ <br /> Cen,I,etl Fee <br />` ~ ~~ <br /> / <br /> Soeca~ Caw r ~~ <br /> ~ t <br /> r <br />G '. e <br />E aee.n Feaatll5jrs6~,~9 <br />~`l <br />v <br />io Wnom 6 Da Oe <br />e6 <br />L Rewm ReceiP~ Saa <br />~ Dale. and ntlmessee's natl~ess <br />~~ i0iAl Poalage 1 <br />1 <br />~ 8 Fees ~ <br />Ch <br />r Peslmark or Date <br />rt <br />/ <br />c <br />G ' <br /> <br />7 <br />